Mastering Antipsychotics and Hyperprolactinemia

Evidence-Based Clinical Course

Mastering Antipsychotics & Hyperprolactinemia

Hyperprolactinemia is more than a lab abnormality — it impacts sexual health, fertility, bone density, and treatment adherence. This course distills the what, why, and how of prolactin changes with antipsychotics into concise, evidence-based, case-driven chapters for busy clinicians.

5 Chapters Case-Based Evidence Reviewed Academy Members Only

Focused Chapters

Case

Based Lessons

All

Special Populations

About This Course

Most antipsychotics raise prolactin, yet routine monitoring is rarely standard practice. The downstream consequences — amenorrhea, sexual dysfunction, infertility, osteopenia, and reduced adherence — carry real clinical weight and are too often missed. This course gives you a practical framework to evaluate, monitor, and manage prolactin elevation in patients receiving antipsychotics.

Through case-based lessons and evidence-based reviews, each chapter is concise and clinically oriented — built to translate directly into decisions you can apply at the next visit. Work through the five chapters in order.

What You'll Cover

Neuroendocrine Pathophysiology

Normal prolactin physiology & regulation, dopamine control of secretion, and how antipsychotics cause hyperprolactinemia

Evaluation & Differential Diagnosis

Working up elevated prolactin, separating antipsychotic-induced from secondary causes, correct sampling, when to image, and risk factors for severe elevation

Antipsychotics & Prolactin: Ranking of Medications

Comparing elevation profiles, the AVOID / CAUTION / PREFERRED classification, breast cancer risk, and applying the ranking in daily practice

Management Strategies

Pharmacological & non-pharmacological interventions, treating symptomatic vs. asymptomatic patients, augmentation options, and a summary algorithm

Special Populations

Children & adolescents, women of reproductive age, pregnancy & postpartum, men, postmenopausal women, breast cancer risk, and practical tips across groups

Step 1: Confirming Elevated Prolactin

A slide from Chapter 2 — Evaluation & Differential Diagnosis

Who Should Enroll

Physicians, Residents & Fellows — Psychiatry, Family & Internal Medicine

Nurse Practitioners

Physician Assistants

Pharmacists

Any clinician involved in prescribing antipsychotics

Included with Academy Membership

This course is part of your Academy Membership — alongside 470+ clinical chapters, Journal Club, Clinical Case Discussions, the CME Academy, and the Academy Network community.

Join the Academy → See Pricing Plans

Mastering Antipsychotics and Hyperprolactinemia

Included with Academy Membership

TABLE OF CONTENT:

Antipsychotics and Hyperprolactinemia: Understand Basics & Beyond

Neuroendocrine Pathophysiology – Dopamine, Prolactin, and Antipsychotics

Evaluation and Differential Diagnosis of Antipsychotic-Induced Hyperprolactinemia

Comparing Prolactin Elevation Risk Among Antipsychotics – Evidence Review

Management of Antipsychotic-Induced Hyperprolactinemia

Special Populations and Special Considerations

Responses